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全科住院医师带教医学生——未被充分利用的资源?

GP registrars teaching medical students- an untapped resource?

机构信息

Research Department of Primary Care and Population Health, UCL Medical School (Royal Free Campus) , London, UK.

King's Undergraduate Medical Education in the Community (KUMEC) School of Population Health and Environmental Sciences, Faculty of Life Sciences and Medicine, King's College London , London, UK.

出版信息

Educ Prim Care. 2020 Jul;31(4):224-230. doi: 10.1080/14739879.2020.1749531. Epub 2020 Apr 22.

Abstract

BACKGROUND

General practice placements are fundamental to undergraduate medical education but there are difficulties in recruiting teaching practices. Developing "near peer teaching" may help. Health Education England & UCL run a programme in general practice (GP) training schemes with Innovative Training Posts in medical education.

AIM

To evaluate GP innovative training posts in undergraduate medical education.

DESIGN AND SETTING

Focus groups and interviews with GP specialty trainees ("trainees"), medical students & educational stakeholders in London.

METHOD

A qualitative study exploring stakeholders' perspectives of this initiative. Transcribed interviews were analysed thematically.

RESULTS

We interviewed 26 stakeholders. Students valued trainees' generalist expertise and making explicit areas of medicine. Trainees adopted student-centred approaches, addressing students' assessment agendas, in contrast to senior doctors. Trainees also provided career guidance. Trainees expressed benefits to their development; their identity as learners & educators, and clinical knowledge. Teaching & learning for trainees were inter related; as identified by "to teach something well is to understand it well". Educational leaders were supportive but had to champion such initiatives.

CONCLUSION

Near peer teaching in general practice is relatively novel. There are strong educational benefits for learners & teachers clearly influenced by the social context of learning. Positive career roles are modelled by trainees.

摘要

背景

全科医学实习对于本科生医学教育至关重要,但在招募教学实践方面存在困难。发展“近邻教学”可能会有所帮助。英格兰和 UCL 的健康教育为普通科医生培训计划(GP)提供了具有创新性医学教育培训职位的计划。

目的

评估本科医学教育中的全科创新培训职位。

设计与环境

在伦敦,对全科专业受训者(“受训者”)、医学生和教育利益相关者进行了焦点小组和访谈。

方法

一项探索利益相关者对这一举措看法的定性研究。对访谈进行了主题分析。

结果

我们采访了 26 位利益相关者。学生们重视受训者的通才专业知识和明确的医学领域。受训者采用了以学生为中心的方法,解决了学生的评估议程,与资深医生形成了对比。受训者还提供了职业指导。受训者表示这对他们的发展有好处;他们作为学习者和教育者的身份,以及临床知识。教学和学习对于受训者来说是相互关联的;正如“教好某件事就是要很好地理解它”所表明的那样。教育领导者表示支持,但必须倡导此类举措。

结论

全科医学中的近邻教学相对较新。学习者和教师都有很强的教育收益,这显然受到学习社会背景的影响。受训者为职业角色树立了积极的榜样。

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